A marathon runner notices an irregular pulse. He has had no presyncope or syncope. A Holter monitor is performed and a strip is shown

[zahra.sham]

Module 12: Cardiology (Assessment)
A marathon runner notices an irregular pulse. He has had no presyncope or syncope. A Holter monitor is performed and a strip is shown

You proceed to

A. repeat holter
B. reassure the patient
C. order a exercise ECG
D. inform him he needs a permanent pacemaker insertion
E. refer him for angiography